| Gold Star Counseling Llc | |
|
414 Oakland St Holly MI 48442-1224 | |
| (248) 533-3775 | |
| Not Available |
| Full Name | Gold Star Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 414 Oakland St, Holly, Michigan |
| Authorized Official Name and Position | April Grace Brandon (OWNER) |
| Authorized Official Contact | 2485333775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Star Counseling Llc 414 Oakland St Holly MI 48442-1224 Ph: (248) 533-3775 | Gold Star Counseling Llc 414 Oakland St Holly MI 48442-1224 Ph: (248) 533-3775 |
| NPI Number | 1629898549 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Medicare PECOS PAC ID | 5496289753 |
|---|---|
| Medicare Enrollment ID | O20241108000793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629898549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | April G Brandon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508326984 PECOS PAC ID: 5395193452 Enrollment ID: I20231129003631 |
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